Kardiyoloji Uzman Doktor \u0130smail Erdo\u011fu, kalp \u00e7arp\u0131nt\u0131s\u0131n\u0131n kimi zaman ciddi ve \u00f6l\u00fcmle sonu\u00e7lanabilecek vakalar\u0131n habercisi olabilece\u011fini s\u00f6yledi.<\/p>\n
Sivas Medicana Hastanesi doktorlar\u0131nda Kardiyoloji Uzman\u0131 Dr. \u0130smail Erdo\u011fu, g\u00fcn\u00fcm\u00fczde \u00e7ok s\u0131k \u015fikayet konusu olan \u00e7arp\u0131nt\u0131 hissinin bazen sadece huzursuzluk yaratan bir his olarak kalabilece\u011fini, bazen de ciddi ve \u00f6l\u00fcmle sonu\u00e7lanabilecek vakalar\u0131n habercisi olabilece\u011fini belirtti.<\/p>\n
Erdo\u011fu, kalp \u00e7arp\u0131nt\u0131s\u0131n\u0131n hastalar taraf\u0131ndan kalbin h\u0131zl\u0131 atmas\u0131 olarak bilindi\u011fini belirterek, \u201cKalbin att\u0131\u011f\u0131n\u0131n hissedilmesi ya da kalp ritminin d\u00fczensiz olmas\u0131 gibi farkl\u0131 \u015fekillerde tan\u0131lan\u0131r. Hastan\u0131n kalbinin att\u0131\u011f\u0131n\u0131 hissetmesi \u00f6zellikle bu gece yat\u0131nca s\u0131k\u0131l\u0131k ortaya \u00e7\u0131kmakta olup bu durum herhangi bir problemden kaynaklanmamaktad\u0131r. Kalp ritminin d\u00fczensiz olarak hissedildi\u011fi \u00e7arp\u0131nt\u0131larda kalbin kar\u0131nc\u0131\u011f\u0131ndan ya da kulak\u00e7\u0131\u011f\u0131ndan \u00e7\u0131kan erken at\u0131mlar\u0131 hastan\u0131n hissetmesi \u015feklinde olup bu durumda bu tekleme yada erken at\u0131m olarak tan\u0131mlad\u0131\u011f\u0131m\u0131z kalp at\u0131mlar\u0131n\u0131n say\u0131s\u0131 \u00f6nemlidir. Bu durumda hastalara 24 ya da 48 saatlik holter EKG ile ritmi takip edebildi\u011fimiz ve bu s\u00fcrede ne kadar erken at\u0131m\u0131n geldi\u011fini g\u00f6sterir tetkik ile bu vurular\u0131n s\u0131kl\u0131\u011f\u0131n\u0131 tespit edip belli oranlar\u0131n \u00fczerinde ise bu erken at\u0131mlar\u0131n tedavisini yapabilmekteyiz\u201d dedi.<\/p>\n
Kalp \u00e7arp\u0131nt\u0131s\u0131n\u0131n belirtileri nelerdir?<\/p>\n
Erdo\u011fu, kalp \u00e7arp\u0131nt\u0131s\u0131n\u0131n belirtilerine de\u011finerek \u015funlar\u0131 s\u00f6yledi: \u201cBir di\u011fer en s\u0131k g\u00f6rd\u00fc\u011f\u00fcm\u00fcz ve klinik olarak \u00f6neli \u00e7arp\u0131nt\u0131 da kalbin \u00e7ok h\u0131zl\u0131 atmas\u0131d\u0131r. Normalde nab\u0131z say\u0131s\u0131 dakikada 60-100 aras\u0131ndad\u0131r. 100\u2019\u00fcn \u00fczerine \u00e7\u0131kt\u0131\u011f\u0131nda ta\u015fikardi durumu tarifliyoruz. Ancak 100-120 seviyeleri \u00e7o\u011funlukla \u00f6nemsiz de\u011ferlerdir ve bu de\u011ferler \u00e7o\u011funlukla kans\u0131zl\u0131k, guatr ve anksiyete-heyecan kaynakl\u0131d\u0131r. Ger\u00e7ek \u00e7arp\u0131nt\u0131 dedi\u011fimizde nabz\u0131n \u00e7o\u011funlukla dakikada 150-160\u2019\u0131n \u00fczerinde olmas\u0131n\u0131 g\u00f6r\u00fcyoruz. Ger\u00e7ek \u00e7arp\u0131nt\u0131 durumu kalbin kulak\u00e7\u0131\u011f\u0131 ve kar\u0131nc\u0131\u011f\u0131 aras\u0131nda olmamas\u0131 yerde elektriksel ba\u011flant\u0131 ya da k\u0131sa devre olarak tan\u0131mlad\u0131\u011f\u0131m\u0131z ba\u011flant\u0131n\u0131n olmas\u0131d\u0131r. Bu k\u0131sa devre zaman zaman fonksiyon g\u00f6r\u00fcp hastada \u00e7arp\u0131nt\u0131 olu\u015fturmakta. \u00d6nemli nokta bu devrenin ne zaman fonksiyon g\u00f6rece\u011finin ve \u00e7arp\u0131nt\u0131 olu\u015fturaca\u011f\u0131n\u0131n herhangi bir belirtisi olmamas\u0131d\u0131r. Ancak yo\u011fun stress ve sigara gibi etkiler bu devrenin fonksiyonunu ortaya \u00e7\u0131kar\u0131p \u00e7arp\u0131nt\u0131n\u0131n ba\u015flamas\u0131n\u0131 tetikleyebilmektedir\u201d.<\/p>\n
Kalp \u00e7arp\u0131nt\u0131s\u0131 nas\u0131l tedavi edilir?<\/p>\n
Erdo\u011fu, kalp \u00e7arp\u0131nt\u0131s\u0131n\u0131n ila\u00e7 ve ablasyon gibi iki t\u00fcr tedavisinin oldu\u011funu belirterek, \u201c\u0130la\u00e7 tedavisi o k\u0131sa devre dedi\u011fimiz olmamas\u0131 gereken devreyi bask\u0131layarak tedaviyi sa\u011fl\u0131yor. Ancak ila\u00e7 tedavisi b\u00f6yle bir hastaya ba\u015fland\u0131\u011f\u0131nda o k\u0131sa devreyi ortadan kald\u0131rmad\u0131\u011f\u0131 yaln\u0131zca bask\u0131lad\u0131\u011f\u0131 i\u00e7in uzun s\u00fcreli ilac\u0131 d\u00fczenli kullanmak gerekli. Ayn\u0131 zamanda ila\u00e7 tedavisi alt\u0131nda da \u00e7arp\u0131nt\u0131 ataklar\u0131n\u0131n devam etmesi s\u0131kl\u0131kla kar\u015f\u0131la\u015f\u0131lan \u00f6nemli bir problemdir. Bir di\u011fer tedavi se\u00e7ene\u011fi de o olmamas\u0131 gereken k\u0131sa devrenin ortadan kald\u0131r\u0131lmas\u0131d\u0131r. Bu i\u015flem ablasyon olarak tan\u0131mlad\u0131\u011f\u0131m\u0131z tedavi se\u00e7ene\u011fidir. Ablasyon i\u015fleminde kas\u0131k toplar damar\u0131nda girerek \u00f6zel kataterler ile \u00e7arp\u0131nt\u0131n\u0131n kaynakland\u0131\u011f\u0131 k\u0131sa devre tespit ediliyor ve o b\u00f6lgeyi \u00f6zel kateterler ile yakarak ortadan kald\u0131r\u0131l\u0131yor. B\u00f6ylece k\u0131sa devre tamamen ortadan kalkt\u0131\u011f\u0131 i\u00e7in hastan\u0131n \u00e7arp\u0131nt\u0131s\u0131 tamamen tedavi edilmi\u015f oluyor ve hastaya herhangi bir kalp ilac\u0131 vermeden tedavisi yap\u0131lm\u0131\u015f oluyor\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
KARD\u0130YOLOJ\u0130 UZMAN DOKTOR \u0130SMA\u0130L ERDO\u011eU, KALP \u00c7ARPINTISININ K\u0130M\u0130 ZAMAN C\u0130DD\u0130 VE \u00d6L\u00dcMLE SONU\u00c7LANAB\u0130LECEK VAKALARIN HABERC\u0130S\u0130 OLAB\u0130LECE\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":194137,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[48661,16127,2120,5897,27235,48662],"class_list":["post-194136","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-carpintisi","tag-habercisi","tag-kalp","tag-olabilir","tag-olumcul","tag-vakalarin"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/08\/kalp-carpintisi-olumcul-vakalarin-habercisi-olabilir_fb40a68.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Ove","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/194136","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=194136"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/194136\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/194137"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=194136"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=194136"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=194136"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}